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Contact Information

BURDOCK & CLOVE WELLNESS LLC
2052 W ADDISON ST # 2
CHICAGO, IL60618-6126
 Phone: 312-735-3589
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for BURDOCK & CLOVE WELLNESS LLC

NPI Number 1154920759
LBN Legal business name BURDOCK & CLOVE WELLNESS LLC
Authorized official KIMBERLY VICTORINE - (OWNER, LICENSED ACUPUNCTURIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2020
Last updated 10/23/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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